RESUMO
Experience in surgical treatment of 290 patients with carcinoma of the large intestine following a complicated course shows that primary restoration of the intestinal continuity is possible. In this event, the allowable operative risk with consideration for the pronounced character of the pathological process must be analysed, and adequate anesthiological and resuscitation services must be provided. It is advisable that such operations are performed in specialized surgical institutions.
Assuntos
Neoplasias do Colo/cirurgia , Hemorragia Gastrointestinal/cirurgia , Obstrução Intestinal/cirurgia , Neoplasias Retais/cirurgia , Neoplasias do Colo/complicações , Neoplasias do Colo/patologia , Feminino , Hemorragia Gastrointestinal/etiologia , Humanos , Obstrução Intestinal/etiologia , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Neoplasias Retais/complicações , Neoplasias Retais/patologia , Fatores de Risco , Ruptura Espontânea , Procedimentos Cirúrgicos Operatórios/métodos , Resultado do TratamentoRESUMO
The paper deals with the issue of primary restoration of intestinal continuity in complicated colorectal cancer using extraperitoneal colorectal anastomoses. The study is based on the experience of treatment of 35 cases of complicated colorectal cancer. It was concluded that, to assure primary restoration of intestinal continuity, the risk of surgery must be weighed with respect to extent of disease, and adequate anesthesiologic and postoperative intensive care is required. The procedure should be performed at a specialized surgical institution.